Clinical Quality and Risk Coordinator

Desert Parkway Behavioral Healthcare Hospital•Las Vegas, NV

About The Position

Desert Parkway Behavioral Healthcare Hospital is dedicated to delivering compassionate, safe, and high-quality care to our community. We are committed to fostering a culture of safety, continuous improvement, and regulatory excellence. We are currently seeking a dedicated and detail-oriented Clinical Quality and Risk Coordinator to join our team and make a meaningful difference in patient outcomes. The position is responsible for incident investigation, data analytics, regulatory compliance monitoring, and CMS aligned grievance management. This role requires clinical judgment or formal regulatory/quality training to interpret behavioral health events, identify trends, and support organizational risk mitigation strategies.

Requirements

Valid Nevada licensure as a Registered Nurse required
Minimum three (3) years previous experience in healthcare regulatory compliance, quality, or risk required
Hospital experience required; behavioral health clinical experience preferred
Previous experience analyzing incident data, developing dashboards and identifying trends required
Experience with incident investigation and RCA methodology
Experience with survey readiness activities (CMS, Joint Commission, or state)
Experience using incident reporting systems and managing data integrity
Knowledge of CMS grievance regulations, to include CMS-aligned investigation, documentation, and written responses
Ability to interpret clinical documentation and apply regulatory standards

Nice To Haves

Certification in healthcare quality, compliance, or risk preferred
Hospital experience required; behavioral health clinical experience preferred

Responsibilities

Clinical/Regulatory Investigation & Analysis Conduct clinical‑level incident investigations (self‑harm, elopement, medication events, restraint/seclusion).
Perform root cause analyses (RCA, FMEA).
Evaluate clinical documentation for accuracy and regulatory compliance.
Identify system‑level contributing factors and corrective actions.
Collaborate with Nursing, Medical Staff, and Clinical Services on high‑risk events.
Data & Trend Analytics Analyze incident data using statistical methods.
Develop trend reports, dashboards, and risk profiles.
Identify emerging patterns requiring intervention.
Review and document within the incident reporting application.
Present findings to leadership and committees.
Regulatory Compliance Monitor compliance with CMS, Joint Commission, and state regulations.
Support survey readiness and mock tracers.
Assist with policy development and regulatory updates.
Complaint and Grievance Management Manage complaint and grievance intake, documentation, and timelines.
Ensure CMS‑compliant investigation and written responses.
Track complaint and grievance trends and identify systemic issues.